PORTEX EPIFUSE EPIDURAL CATHETER CONNECTOR
Report
- Report Number
- 3012307300-2026-04204
- Event Type
- Malfunction
- Date Received
- April 27, 2026
- Date of Event
- April 1, 2026
- Report Date
- April 27, 2026
- Manufacturer
- ICU MEDICAL, INC.
- Product Code
- CAZ
- UDI-DI
- 10351688076083
- PMA / PMN Number
- K092657
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- 003
Narratives
B3: UNKNOWN; NO INFORMATION HAS BEEN PROVIDED TO DATE. D4 - LOT #: PROVIDED LOT # 6091752 BUT COULD NOT BE LOCATED IN ORACLE H3: INVESTIGATION INCLUDING ROOT CAUSE ANALYSIS IS IN PROGRESS. A SUPPLEMENTAL MDR WILL BE FILLED AS NECESSARY IN ACCORDANCE WITH 21 CFR 803.56 WHEN ADDITIONAL REPORTABLE INFORMATION BECOMES AVAILABLE.
IT WAS REPORTED THAT AFTER PLACEMENT THEY COULD NOT BE ABLE TO INJECT THE TEST DOSE VIA THE EPIDURAL CATHETER. THREE ATTEMPTS WITH HIGH PRESSURE WERE UNSUCCESSFUL (2ML AND 5ML SYRINGE). THE CHANGE OF THE CONNECTING DEVICE WASN¿T SUCCESSFUL EITHER. THE CATHETER WAS THEREFORE REMOVED, AND A NEW MEDLINE CSE KIT WAS USED MAKING SURE THAT THE CATHETER IS PATENT BEFORE PLACEMENT. THE CUSTOMER WAS UNABLE TO FULLY INSERT THE CATHETER INTO THE CATHETER CONNECTOR. THERE WAS UNKNOWN REPORTED PATIENT INVOLVEMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 46744 | PORTEX EPIFUSE EPIDURAL CATHETER CONNECTOR | ANESTHESIA CONDUCTION KIT | CAZ | ICU MEDICAL, INC. | 6091752 | 10351688076083 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |